Active NPI
Anna Koley
- Massage Therapist
- Pahoa, HI
National Provider Identifier
1063949774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT-14039
- Practice address
- 13-104 Nalu PL
Pahoa, HI 96778-7730 - Phone
- (508) 783-0443
- NPI assigned
- May 12, 2017
- Last updated
- May 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-14039 | HI | Primary |
Addresses
Primary practice location
13-104 Nalu PL
Pahoa, HI 96778-7730
Mailing address
15-2662 Pahoa Village Rd # 306-8529
Pahoa, HI 96778-7730
Phone (508) 783-0443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMT-14039 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Green Will Conservancy Inc | Current | Accepting new patients | |
| Sirius Research Group Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Pahoa, HI
- NPI 1851608673
-
- Clinical Social Worker
- Pahoa, HI
- NPI 1588971303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1063949774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15-2662 PAHOA VILLAGE RD # 306-8529",
"city": "PAHOA",
"state": "HI",
"postal_code": "967787730",
"telephone_number": "508-783-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13-104 NALU PL",
"city": "PAHOA",
"state": "HI",
"postal_code": "967787730",
"telephone_number": "508-783-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLEY",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "LMT-14039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.